Perform! in the Schools Program

Forms
Submit a School Application Online

Please fill in the form below as completely and accurately as possible. If you would like to apply for multiple projects, or different programs, you will need to prepare one application for each. If you have any questions, please contact us at coordinator@performns.ca.

* Indicates a required field

CONTACT INFORMATION (required)

* School:
* School Board:
* Contact Name:
* Address:
* City:
* Postal Code:
* Phone:
Fax:
* E-Mail:

CHOOSE THE PROGRAM (required)

* Option:
Please Note: When you choose a program here, then proceed to fill in the appropriate coloured section below.

OPTION #1: Have a Performer Teach In-School or After-School

Dance Specialty:
Choral Specialty:
Theatre Specialty:
Special Considerations:
Preferred Performer:
Grade Level(s):
Please Note: Maximum class size for workshops is 26, with the exceptions of projects that involve choirs or school presentations.
Date(s) Requested:	View a Calendar
(range must be between 3 and 30 hours, or be for 60 hours total)
# of Project Hours Applied For:	x $40/hr = Total Performer Fee
Payment Required by School:	Total Performer Fee x 50% =
Cost is split 50/50 between the School and Perform! (Total Performer Fee = Total Project Hours @ $40/hr)

OPTION #2: Have a Show Come to Perform for the Students

Performance Name:
# of Performances:	1 2
Date(s) Requested:	View a Calendar
Grade Level(s):
Payment must be received 2 weeks prior to the performance date. In the event of cancellation on the part of the school, Perform! must be given one week notice prior to the performance date. In the event proper notice is not given the school will be liable for 50% of the booking fee. In the event of school closure, due to weather, the school will not be liable for the booking fee. If rescheduling is not possible, the school will be refunded. The number of students in attendance at the performance may not exceed 400. The school assumes all responsibility for the seating of, supervision, and safety of the students prior to and during the performance.

OPTION #3: Have 'No More Bullies' Workshop Come to Your School

Date(s) Requested:	View a Calendar
# of Classrooms you would like the workshop to visit:	(grades 3-6 only)
Payment Required by School:

OPTION #4: Have a Performer Teach the Teachers

# of Teachers/Staff Participating:	(maximum 15)
Dance Specialty:
Choral Specialty:
Theatre Specialty:
Special Considerations:
Preferred Performer:
Location of Workshop:	In the Applying School Help Us Find a Location
Date(s) Requested:	View a Calendar
Payment Required by School:
Professional Performance Development for Teachers cost is $120 per 3 hour class

PAYMENT INFORMATION (required)

Please Note: Perform requires your payment prior to the date of your Perform activity. If you have any difficulty that interferes with carrying out your activity, please contact us as soon as possible.
* Option 1:	I will pay by Credit Card over the phone by calling the Perform! office at (902) 425-3876 MasterCard or VISA

* Option 2:	I will pay by Cheque and mail it to Perform! at: 1113 Marginal Road, Halifax, NS B3H 4P7

AUTHORIZATION I have read the Perform! Policy and have reviewed this application and Perform! activity.
* Name of Authorized Person: